Table 4

Safety of sputum induction for measurement of inflammatory indices in moderate­to­severe stable or exacerbated asthma or chronic obstructive pulmonary disease (COPD)#,¶

First author [Ref.]Subject characteristicsSputum induction
Subject nSp ind nConditionAge yrsIS nFEV1 % predMethod [Ref.]Safety AssessmentFall %
MeanMinTypeInterval minInterruptionMeanMax
Stable asthma or COPD
de la Fuente 43030Asthma55.03071.055.0+1§FEV15fall ≥20%ƒ,##3.04.0
Pizzichini 101821COPD67.11529.013.05FEV11–2fall ≥20ƒ,##16.529.7
Grootendorst 122020Asthma14.92085.460.512FEV120fall ≥20ƒ,##NA>20.0
Vlachos­Mayer 149393Asthma55.89343.918.45FEV11–2fall ≥20ƒ,##8.232.3
1919COPD63.91435.220.55FEV11–2fall ≥20ƒ,##9.729.5
Louis 302222Asthma29.0684.035.027PEF5fall ≥20ƒ,##20.048.0
Exacerbated or uncontrolled asthma
Twaddell 8812exac asthma12.0662.025.04PEF0.5, 1, 2, 4, 8fall ≥20,##NA10.0
Pizzichini 61030exac asthma41.8748.137.01§FEV11–2fall ≥20ƒ,##8.242.0
de la Fuente 488Mild asthma48.0495.090.0+1§FEV15fall ≥20ƒ,##4.08.0
1313Severe asthma52.01361.050.0+1§FEV15fall ≥20ƒ,##6.010.0
Pizzichini 11812PRED­dep asthma54.38++55.045.05FEV11–2fall ≥20ƒ,##7.019.5
Pizzichini 343131Uncontrd asthma30.8None73.919.01 or 6§FEV17 or 1–2fall ≥20ƒ,##10.753.0
  • Sp ind: sputum induction

  • IS: inhaled steroids

  • FEV1: forced expiratory volume in one second

  • % pred: percentage of the predicted value

  • Min: minimum

  • Max: maximum

  • NA: not available

  • PEF: peak expiratory flow

  • exac: exacerbation

  • PRED­dep: prednisone dependent

  • Uncontrd: uncontrolled

  • #: control subjects not included

  • : all subjects pretreated with bronchodilator (180 or 200 µg salbutamol)

  • +: 25th percentile

  • §: modified

  • ƒ: or specimen obtained

  • ##: or patient experienced discomfort

  • ++: plus prednisone